| North Star Counseling Of Central Florida, Llc. | |
|
2980 Park Pond Way Kissimmee FL 34741-7660 | |
| (407) 930-4711 | |
| (866) 255-1576 |
| Full Name | North Star Counseling Of Central Florida, Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2980 Park Pond Way, Kissimmee, Florida |
| Authorized Official Name and Position | Wilson Giovanni Villanueva (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4079304711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Counseling Of Central Florida, Llc. 107 E Monument Ave Kissimmee FL 34741-5761 Ph: (407) 930-4711 | North Star Counseling Of Central Florida, Llc. 2980 Park Pond Way Kissimmee FL 34741-7660 Ph: (407) 930-4711 |
| NPI Number | 1497151369 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497151369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH12912 (Florida) | Primary |
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